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General NPI Number Information
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NPI Number | 1104014315
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Entity Type | Organization
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Legal Business Name | AB CARDIOLOGY, PLLC
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Dates
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Enumeration Date | 10/12/2007
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Last Update Date | 02/28/2024
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Provider Practice Location Address
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Address Line | 6624 FANNIN ST STE 1990
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City | HOUSTON
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State | TX
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Zip | 77030-2330
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Country | US
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Telephone | 713-436-6653
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Fax | 713-436-6365
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Provider Business Mailing Address
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Address Line | 12234 SHADOW CREEK PKWY STE 6106
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City | PEARLAND
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State | TX
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Zip | 77584-7338
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Country | US
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Telephone | 713-436-6653
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Fax | 713-436-6365
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Authorized Official
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Title or Position | OWNER
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Name | ALEXANDER BUTKEVICH
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Credential | MD
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Telephone | 713-436-6653
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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